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Flashcards in CKD 2 Deck (13):
1

Most target doses of Iron replacement

1000mg

2

Oral iron therapy not on HD

Ferrous sulfate 325 mg PO BID

3

What symptoms limits iron therapy

constipation and GI intolerance

4

Parenteral iron preparations

iron dextran (INfed), Sodium ferric fluconate (Ferrlecit), Iron Sucrose (Venofer), Ferumoxytol (Feraheme)

5

Iron dextran dose

500-1000 mg in 250 mL of NSS infused for 1 hour

6

If a pt has trouble with iron replacement therapy they can use

maintenance therapy, 25-100 mg/week IVx10 weeks

7

ADRs of parenteral iron preparations

flushing and dizziness are common, but hypotension is most significant

8

Parenteral iron monitoring

every 3 months, serum iron, ferritin, tSat

9

Parenteral iron total dose

200 mg IV daily x5, 200 mg IV every other day x5, 300 mg IV q3 days

10

peritoneal dialysis

tube in peritoneal cavity drains toxins, new fluids drain into peritoneal cavity to start process over

11

Indications for RRT

nausea, vomiting, poor nutrition, metabolic acidosis, lethargy/ malaise, worsening kidney function

12

Best option for RRT

Transplant- far better outcomes, better if living donor

13

Negatives of kidney transplant

risk for infection, bone loss, CVD, contraindicated if malignancy, infection, severe extra renal disease, illicit drug use